MRI lower back without contrast at Riddle Memorial Hospital. CPT 72148.
What Riddle Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,790cash price (self-pay)
$4,475list price
$245–$1,681range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Ibc Advantage Medicare Managed Care - Hmo | $245 |
| Humana | Medicare Managed Care Plan | $250 |
| Health Partners/Jefferson Health | Medicare Managed Care Plan | $257 |
| Devoted Health | Medicare Managed Care Plan | $262 |
| Aetna | Advantra Medicare Managed Care Plan | $267 |
| Pa Health & Wellness | Dual Eligible Medicare Managed Care Plan | $270 |
| Highmark Wholecare | Medicare Managed Care Plan | $272 |
| Unitedhealthcare | Advantage Group Medicare Managed Care Plan | $274 |
| Geisinger Health | Medicare Managed Care Plan | $275 |
| Blue Cross | Dvaco Other Commercial Plan | $306 |
| Unitedhealthcare | All Commercial Plans | $518 |
| Aetna | Custom - Pebtf/Rehp Hmo | $715 |
| Aetna | Hmo | $954 |
| Aetna | Ppo | $954 |
| Blue Cross | Ibc Hmo | $1,173 |
| Cigna | All Commercial Plans | $1,516 |
| Blue Cross | Ibc Administrators Ppo | $1,681 |
| Blue Cross | Ibc Ppo | $1,681 |
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